HomeMy WebLinkAboutZ-29163 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29163 Date: 12/30/02
THIS CERTIFIES that the building DWELLING
Location of Property 10105 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 054 Block 0008 Lot 005
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 29163 dated DECEMBER 30, 2002
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING WITH ACCESSORY 1 CAR GARAGE
The certificate is issued to ALICE KNOBLOCH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTM@TP OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Au o ize Signa ure
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 10105 SOUNDVIEW AVE SOUTHOLD
SUBDIVISION: NAP NO.: LOT (S)
NAMB OF OWNHR (S): ALICE KNOBLOCH
OCCUPANCY: SINGLE FAMILY ALICE KNOBLOCH
ADMITTBD BY: MARYANN FEAVEL ACCONPANISD BY: SAME
RSY AVAILABLH: SUPP. CO. TAR NAP NO.: 54.-5-5
SOURCH OF RHQUHST: MARYANN FEAVEL, 12/4/02 DATH: 12/30/02
DWELLING:
TYPH OF CONSTRUCTION: WOOD FRAME # STORMS: 1.0 # BRITS: 2
FOUNDATION: CEMENT BLOCK Cur.r.nu: FULL CRANL SPACH:
TOTAL ROOMS: 1ST FLR.: 4 2ND FLR_: 0 3RD PLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 DTILITY ROOM(S):
PORCH TYPH: DHCR TYPH: WOOD DECK PATIO TYPH:
BRHHZHNAY: FIRHPLACH:^-=°=-^-H:
DOlD3STIC HOTNATHR: YES TYPH HBATSR: ELECTRIC AIRCONDITIONING:
TYPH HHAT: ELECTRIC NARM AIR: HOTWATHR:
OTHHR: SUN ROOM NO HEAT
ACCESSORY STRUCTURES:
GARAGH, TYPH OF CONST.: 1 CAR WOOD FRAME STORAGH, TYPH CONST.:
SWIMMMG POOL: GUHST, TYPB CONST.:
OTHHR:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION ~ ART. ~ SEC.
Rrarnuirc: Bp#9765-Z-COI-9 7 (ADD) BP #15216-Z-COI-15057 (DECK)
INSPBCTBD BY: DATH ON INSPECTION: 12 11 02
GARY J. F TII~ START: 10:00 AM END: 10:20 AM
l r - -
Form No. 6
TOWN OF SOUTHOLD 4 LGt)~
BUILDING DEPARTMENT i 1_ . _
TOWN HALL I
765-1802 _
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00
Date.
New Construction: Old or Pre-existing Building: ~ (check one)
Location of Property: ~~/Q ~ olC~~'+'~1~~`~-
House No. Street Hamlet
Owner or Owners of Property: ~ ~/~L~ ~G
Suffolk County Tax Map No 1000, Section /
Block ~ Lot `J
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ? (check one)
Fee Submitted: $
G~'s(!~
p~ cant Signature ~
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L'/1~~2002 1:3ti PM FkGM; Fa-s T0: 631 -'!553?C7 PhCiE: GD2 GF
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PRUi'ESS'ONAI ENGINEER
~ 17?i 11'illAk(Bi till: PU l4n 616. ~I)F ILtHh. NliAV YUlil: 11971
1,:1. a}1 ir;p..~+,:~ . h,:i ~-=1{.I {.:51~. rnunl: ju7cphrr L~
~irui. nrn
D:uc: December 17, 2(102
Rrfarnce: 10105 Saundcie« Ave
11c,ilding Inspcctut•
f!>~~'n ul Suu!huld
Main Goad
Southold, NY 11971
I)car Sir.
I ha~•e inspected tl,e premises us relcrenced ab~+,'e nn December 16. 20112. please nut the fullowins~•
I. "I'he tlirur joists ha,e been s.:ppurlyd to the main center girder by metal joist hnngers,vhen the
stricture ,gas originall} (ensiructed. lire metal .joist hangers are still in good condition and
the method of iitstcning the hangers to the girder and the joists arc still sound. While the joist
hangars are not h picot to the {.in(I that arc used presently, they ha,•e supported the residential
loads lia• over 40 ears. It is my opinion that the fluor.jnists gill continue to support the
anticipated residential Inads in the 1lnure.
'Ihc backwash Iron, the. hoscmcnt d+nnestic water litter is drained into a 1 inch copper pipe.
1-his I inch pipe has a Small water trap and "Y" cleanrut and is connected to tho main cast
iron waste. In my opinion tl?esyst • A installed and should adei}~~alely drain the
backwash waste. tiP
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.loseph Pischctti, PG
CONSENT TO INSPECTION
the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned is) (are) the owner(s) of the premises in the T~o~'n of
Southold, located at /~.c,~.e,~ifG~ ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section Sam/ ,Block ,Lot S'~
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town~uilding Inspector's Office for the following:
?t1 - ,
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: ~ ,
(Signature) L i~
Yn~~°y fi~.~,v t~~rL
(Print Name)
(Signature)
(Print Name)
Lc/ t.~/ cuuc u7. YY OJ1 /OUL OUO I~GV lIVI~IULHUUI'ILlIV
r'HUt YJG
STATE (~F MARYLAND )
COUNTX OF SS
ALICE G. KNOBLOCH, being duly sworn, deposes and says:
1. 'T`hat I am the current owner of improved real property commonly known as
10105 Soundview Avenue, Southold, New York, which bears Suffolk County Tax Map
No. lt?60-4S4.tll)-08.(i()-005.{wb, and wfiich is improved by cone-family dwe[[iag,
detached garage and wood deck.
2. Thatmy Tate husband, Everett C. Kr?ob[och, and I purchased the subject
premises in 1952 from Edward J. Meaney and Dorothy R. Meaney. At that time the
pnwnises consisted ofvacant [and only.
3. In 1955' my [ate husband and I built the one-fami{y dwelling on the subject
premises. Frcmn the time said one family dwelling was completed in 1955, it was, and is,
heated by electric heat.
4, f make this affidavit kttowing that the Southold Town Building Department
wilt rely therleon in issuing apre-CO for the existing one-family dwelling and detached
garage.
_ ~ J~..~.
ALICE G. KNOBLOCH
Sworn to before me this Z (c } ~
day of December, 2002
I
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NOTARY PUBLIC
PI~.IC STAMARYIAND
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